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Welcome to the South Asian Health Solution

This is not just for South Asians. It’s for anyone from any culture who struggles with insulin resistance, losing fat, preventing chronic illness, or achieving their own personal health goals. South Asians have unfortunately become a world leader in insulin resistance, the underlying condition that causes most cases of diabetes, heart disease, and obesity, in addition to being connected to virtually every major chronic health condition, from Alzheimer’s disease and cancer to arthritis and premature aging.

I now exclusively see South Asian consult patients in my clinic and design health education and wellness programs for some of the most successful companies in the world. This blog will share my professional experience, cutting edge research, and my own personal journey in overcoming insulin resistance and achieving optimal health.


I realize this topic is not consistent with the focus of my blog, but it is too important for me to overlook.  I’ve seen too many patients and families suffer needlessly when many of their issues could have been handled with just a little planning.

Ben Franklin once said:  “In this world nothing can be said to be certain, except death and taxes.” Most of us plan for taxes, but tend to overlook the responsibility of planning for our death and those of our loved ones.  Working in the intensive care unit during medical training gave me my first glimpse of the stark contrast between families who were prepared for this inevitable event and those who weren’t.  A single completed document, the Advanced Health Care Directive (see below), specifically outlining the wishes of the patient was the difference between a family united in the grieving process who worked together to ensure that their loved one’s health care wishes were fulfilled until the last day, versus the bitter conflict and tensions among the family members of a patient who had no end-of-life care instructions documented.  Unfortunately in South Asian culture and other cultures, discussing end-of-life care is often a taboo topic that is not discussed openly and certain assumptions are made, such as the eldest son will automatically take responsibility for decision making for a dying parent.  This may not always result in an optimal outcome and sometimes a different family member or even a close friend may be a more appropriate decision-maker who has the patient’s best interest in mind.

I realized the true power of palliative care during the illness of my own father who succumbed to brain cancer.  Palliative care kept him comfortable until his last days in his home, and provided emotional and spiritual support for the entire family.  It should be a right given to every human being, but unfortunately that is not the case.  Pallium India is a non-profit that works to educate and empower individuals globally with life-limiting or disabling diseases, by treating pain and other symptoms and by providing emotional, social and spiritual support.   It is never too early to consult a palliative care agency or resource after you or a loved one has been diagnosed with a potentially terminal condition.

The Palo Alto Medical Foundation (PAMF), offers free consultations for all individuals (PAMF and non-PAMF patients) in the Bay Area who need assistance in discussing and filling out advanced health care directive forms. No adult is too young to fill these forms out and it’s best to do it while you are able to think clearly regarding what you would want if you were stricken by a life-threatening health condition, and who you would trust to make decisions on your behalf.

There are 2 important forms you should fill out listed below.  Talk to your doctor if you have any questions about your treatment options.

1. An Advanced Health Care Directive:  This document appoints a specific person to make health care decisions for you if you are unable, and provides a very general treatment plan.  The form can be downloaded here.

2. POLST (Physician Orders for Life-Sustaining Treatment): This document more specifically outlines a treatment plan for the seriously ill, including whether you wish CPR (cardiopulmonary resuscitation), intravenous fluids, tube feedings,etc.  This form can be downloaded here.

Join me on September 14th, 2014 at the India Community Center in Milpitas where Pallium India will be hosting a Living Well Series Health Fair.  I will be on hand to answer questions about health and sign copies of my book along with several other healthcare partners.  Event details are here.



What Color Is Your Fat?

July 21, 2014

I’ll Have The Brown Fat Please If you think that all fat cells are inert, metabolically inactive storage containers that swell up with triglycerides, especially when we overindulge in carbohydrates, think again.  The two major types of fat produced by our body are brown and white fat.  White fat is relatively inert and fits our […]

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Our Ancestors Didn’t Need Dental Check Ups, But You Do (Guest Post)

July 4, 2014

I wanted to introduce my good friend Dr.Mark Burhenne, accomplished dentist who runs the wonderful blog, Ask The Dentist.  He has kindly authored the following post which discusses the link between our loss of oral bacterial diversity with dental and chronic inflammatory disease.  Mark sees a large number of South Asian patients in his clinic […]

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Are We Aging Faster?

June 23, 2014

Our modern lifestyles have turned chronological age into a virtually insignificant number.  Aging is not just the number of years you’ve inhabited planet Earth, but rather the degree of wear and tear your body, brain, and vital organs are expressing at a given point in time.  When I came out of medical training and started […]

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See This Movie

June 6, 2014

FED UP: The Movie If a picture is worth a thousand words, a movie is worth even more.  I encourage you to not walk, but run and see the movie FED UP, playing in movie theaters, which highlights the insidious, corporate-driven forces behind our current obesity epidemic.  I saw this with my wife and two […]

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Can Stress Trigger Disease in Otherwise Healthy Individuals?

May 23, 2014

The connection between stress, inflammation and chronic disease has become quite clear to me in my practice.  Let’s talk about a patient of mine (name and details changed) to illustrate the point and then discuss some of the supportive science. Case Study Dev (name changed) is a 45-year-old hard driving Silicon Valley executive who was […]

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Why Saturated Fat Is Feared

May 4, 2014

Let me first start this post off with my disclaimer.  If you are inactive and already eating a diet high in excess carbohydrates, your are likely in constant fat storage mode due to excess levels of the hormone insulin.  In this case, eating liberal amounts of saturated fat is not healthy.  Please don’t use this […]

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Are You Digitally Addicted: The “CAGED” Criteria

April 7, 2014

I saw a patient recently who I suspected had issues with alcohol abuse.  A standard questionnaire we learned from medical training to identify alcohol addiction is known as the CAGE Criteria where “CAGE” is an acronym for the following: C Have you ever felt you should Cut down on your drinking? A Have people Annoyed you by criticizing your drinking? G Have […]

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The Most Important Exercise You’re Not Doing Enough Of

March 28, 2014

We need to completely re-evaluate our approach to exercise given the weight of current evidence.  Back in the days when physical activity was a natural part of our life and daily habits, it was assumed that we took enough steps to interrupt the damaging metabolic effects of prolonged sitting frequently enough to disrupt fat storage […]

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Don’t Neglect Your Kidneys!

March 13, 2014

I’ve lectured and written a lot about the heart and the brain over the years, but I regret that I haven’t focused enough attention on the kidneys.  In honor of March being National Kidney month, I joined up with the National Kidney Foundation (NKF) to contribute this post.  Among the various patients I see in […]

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